THE HEALTH PLAN OF WEST VIRGINIA INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
THE HEALTH PLAN OF WEST VIRGINIA INC (EIN 55-0585592)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201533209349300823
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-16T07:46:51-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1747AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP253261747ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550585592EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH PLAN OF THE UPPER OHIO VALLEY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone7406953585PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line152160 NATIONAL ROAD EASTAddressLine1Txt
CityST CLAIRSVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43950ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES M PENNINGTONPersonNm
Person TitleCEOPersonTitleTxt
Phone7406953585PhoneNum
Signature2015-09-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSUSAN S DULLPreparerPersonNm
PTINP00233523PTIN
Phone3043430168PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJAMES M PENNINGTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line152160 NATIONAL ROAD EASTAddressLine1Txt
CityST CLAIRSVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43950ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$690,970,251GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.HEALTHPLAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionESTABLISHED AS A COMMUNITY HEALTH ORGANIZATION, THE HEALTH PLAN DELIVERS A CLINICALLY-DRIVEN, TECHNOLOGY-ENHANCED, CUSTOMER-FOCUSED PLATFORM BY DEVELOPING AND IMPLEMENTING PRODUCTS AND SERVICES THAT MANAGE AND IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS. WE ACHIEVE THESE RESULTS THROUGH A TEAM OF HEALTH CARE PROFESSIONALS AND PARTNERS ACROSS THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee432TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$2,225,425TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$215,786NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$366,120,962PYProgramServiceRevenueAmt
CY Program Service Revenue$384,189,943CYProgramServiceRevenueAmt
PY Investment Income$7,590,425PYInvestmentIncomeAmt
CY Investment Income$10,391,820CYInvestmentIncomeAmt
PY Other Revenue$37,773PYOtherRevenueAmt
CY Other Revenue$140,637CYOtherRevenueAmt
PY Total Revenue$373,749,160PYTotalRevenueAmt
CY Total Revenue$394,722,400CYTotalRevenueAmt
PY Grants And Similar Paid$243,348PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$836,403CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$334,095,564PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$343,357,648CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,823,911PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,075,721CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,137,032PYOtherExpensesAmt
CY Other Expenses$23,153,713CYOtherExpensesAmt
PY Total Expenses$360,299,855PYTotalExpensesAmt
CY Total Expenses$383,423,485CYTotalExpensesAmt
PY Revenues Less Expenses$13,449,305PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,298,915CYRevenuesLessExpensesAmt
Total Assets BOY$245,910,719TotalAssetsBOYAmt
Total Assets EOY$259,939,459TotalAssetsEOYAmt
Total Liabilities BOY$54,540,354TotalLiabilitiesBOYAmt
Total Liabilities EOY$64,694,414TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$191,370,365NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$195,245,045NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionESTABLISHED AS A COMMUNITY HEALTH ORGANIZATION, THE HEALTH PLAN DELIVERS A CLINICALLY-DRIVEN, TECHNOLOGY-ENHANCED, CUSTOMER-FOCUSED PLATFORM BY DEVELOPING AND IMPLEMENTING PRODUCTS AND SERVICES THAT MANAGE AND IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS. WE ACHIEVE THESE RESULTS THROUGH A TEAM OF HEALTH CARE PROFESSIONALS AND PARTNERS ACROSS THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$142,472,960ExpenseAmt
Grant$836,403GrantAmt
Revenue$135,225,547RevenueAmt
DescTHE PRIMARY EXEMPT PURPOSE OF THE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. IS TO OPERATE A STATE CERTIFIED, FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH PROVIDES COMPREHENSIVE HEALTH CARE SERVICES ON A PREPAID BASIS. HEALTH COVERAGE INCLUDES INPATIENT, EMERGENCY ROOM, OUTPATIENT, DOCTOR ORDERED, PHYSICIAN, PHARMACY, MENTAL HEALTH, AND VISION SERVICES. THE NUMBER OF HMO MEMBERS AT DECEMBER 31, 2014 WAS 30,941.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$94,038,283ExpenseAmt
Revenue$107,766,192RevenueAmt
DescTHE HEALTH PLAN CONTINUES TO OFFER THE MEDICAID PROGRAM SERVICING 33,386 MEMBERS AT DECEMBER 31, 2014. HEALTH COVERAGE INCLUDES INPATIENT, OUTPATIENT, EMERGENCY ROOM, DOCTOR ORDERED, PHYSICIAN, AND VISION SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$144,824,114ExpenseAmt
Revenue$138,972,779RevenueAmt
DescTHE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. CONTINUES TO OFFER A MEDICARE ADVANTAGE PROGRAM KNOWN AS SECURE CARE AND SECURE CARE SPECIAL NEEDS PLAN (SNP). THIS PRODUCT ENABLES THE MEDICARE AGE POPULATION TO SELECT SUPPLEMENTAL MEDICARE COVERAGE AT A MUCH LOWER COST DUE TO THEIR AGREEMENT TO UTILIZE THE HEALTH PLAN NETWORK. THE ENROLLMENT AT DECEMBER 31, 2014 FOR THIS PROGRAM WAS 12,133. HEALTH COVERAGE INCLUDES INPATIENT, OUTPATIENT, DOCTOR ORDERED, EMERGENCY ROOM, AND PHYSICIAN COVERAGE. PHARMACEUTICAL AND VISION SERVICES ARE OFFERED AS OPTIONS IN ADDITION TO THE STANDARD SERVICES LISTED ABOVE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$381,335,357TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3327IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee432EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFFREY M KNIGHT CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7406957585PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line152160 NATIONAL ROAD EASTAddressLine1Txt
CityST CLAIRSVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43950ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN HOLLOWAY
CHAIRMAN OF BOARD1.000.00Yes (X)$6,750$0$0
JOHN WRIGHT IV
VICE CHAIRMAN OF BOARD1.000.00Yes (X)$4,500$0$0
ROBERT DUNLEVY
DIRECTOR1.000.00Yes (X)$4,050$0$0
JERRY FISHER
DIRECTOR1.000.00Yes (X)$3,600$0$0
FRANK JOANOU
DIRECTOR1.000.00Yes (X)$4,050$0$0
KIKI MEHALLIS
DIRECTOR1.000.00Yes (X)$3,150$0$0
CHARLES MONFRADI
DIRECTOR1.000.00Yes (X)$4,300$0$0
CHARLES NEWMEYER
DIRECTOR1.000.00Yes (X)$2,950$0$0
JAMES NEWTON
DIRECTOR1.000.00Yes (X)$4,050$0$0
E PHILLIPS POLACK MD
DIRECTOR1.000.00Yes (X)$4,300$0$0
NICK ZERVOS
DIRECTOR1.000.00Yes (X)$4,500$0$0
PHILIP D WRIGHT
PRESIDENT/CEO RTD 6.30.1440.000.00$369,838$0$21,706Yes (X)
JAMES PENNINGTON
PRESIDENT/CEO APPTD 7.1.1440.000.00$202,295$0$3,753Yes (X)
JEFFREY M KNIGHT
CFO40.000.00$171,829$0$30,297Yes (X)
PATRICIA M FAST
VP - OPERATIONS40.000.00$204,285$0$44,831Yes (X)
E DAVID MATHIEU
VP - MARKETING40.000.00$215,305$0$34,807Yes (X)
ROBERT J ROSET
CIO40.000.00$204,996$0$38,681Yes (X)
MARK KENAMOND
MEDICAL DIRECTOR40.000.00$212,500$0$7,565Yes (X)
ROBERT C KOTA
GENERAL COUNSEL40.000.00$128,614$0$26,205Yes (X)
KENNETH ALLEN
MEDICAL DIRECTOR40.000.00$147,424$0$8,803Yes (X)
STEVEN HALVERSON
DIRECTOR OF UNDERWRITING40.000.00$116,269$0$17,872Yes (X)
STEPHEN NEAL
DIRECTOR OF PHARMACY40.000.00$114,682$0$24,934Yes (X)
THOMAS MINTON
DIRECTOR OF NETWORK DEVELOPMENT40.000.00$109,705$0$24,615Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,243,942TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$284,069TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE524114$138,972,779$138,972,779
HMO524114$135,225,547$135,225,547
MEDICAID524114$107,766,192$107,766,192
CLAIMS PROCESSING524292$2,225,425$2,225,425
FieldValueIRS element (for citing)
Total Program Service Revenue$384,189,943TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,436,919TotalRevenueColumnAmt
Exclusion$5,436,919ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$13,500RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$13,500RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,500TotalRevenueColumnAmt
Related Or Exempt Func Income$13,500RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$296,267,851SecuritiesAmt
Other$4,934,901OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$291,334,284SecuritiesAmt
Other$4,913,567OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,933,567SecuritiesAmt
Other$21,334OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,954,901TotalRevenueColumnAmt
Exclusion$4,954,901ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$127,137TotalRevenueColumnAmt
Related Or Exempt Func Income$127,137RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$127,137OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$394,722,400TotalRevenueColumnAmt
Related Or Exempt Func Income$382,105,155RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,225,425UnrelatedBusinessRevenueAmt
Exclusion$10,391,820ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$543,048TotalAmt
Program Services$543,048ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$293,355TotalAmt
Program Services$293,355ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$343,357,648TotalAmt
Program Services$343,357,648ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,457,759TotalAmt
Program Services$2,457,759ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,457,570TotalAmt
Program Services$5,672,933ProgramServicesAmt
Management And General$1,784,637ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$988,159TotalAmt
Program Services$988,159ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,988,221TotalAmt
Program Services$3,988,221ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,184,012TotalAmt
Program Services$1,184,012ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,319,015TotalAmt
Program Services$2,304,474ProgramServicesAmt
Management And General$14,541ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,013,779TotalAmt
Program Services$1,013,779ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$903,539TotalAmt
Program Services$903,539ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,299,217TotalAmt
Program Services$2,161,515ProgramServicesAmt
Management And General$137,702ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,247,468TotalAmt
Program Services$1,247,468ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,661,916TotalAmt
Program Services$4,641,950ProgramServicesAmt
Management And General$19,966ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,737,093TotalAmt
Program Services$1,711,463ProgramServicesAmt
Management And General$25,630ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$589,942TotalAmt
Program Services$589,942ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$199,392TotalAmt
Program Services$199,344ProgramServicesAmt
Management And General$48ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$119,772TotalAmt
Program Services$119,772ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,152TotalAmt
Program Services$1,152ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$553,078TotalAmt
Program Services$550,938ProgramServicesAmt
Management And General$2,140ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$308,594TotalAmt
Program Services$308,594ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
ACA HEALTH INSURANCE FE$4,811,747$4,811,747
BROKER COMMISSION EXPEN$1,492,766$1,492,766
PREMIUM TAX EXPENSE$519,788$519,788
LOSS ADJUSTMENT EXPENSE$271,991$271,991

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$103,464TotalAmt
Management And General$103,464ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$383,423,485TotalAmt
Program Services$381,335,357ProgramServicesAmt
Management And General$2,088,128ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,586,021BOYAmt
EOY$24,975,801EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,662,029BOYAmt
EOY$14,336,188EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,200,679LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,880,726LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,470,430BOYAmt
EOY$5,319,953EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$218,475,288BOYAmt
EOY$213,886,500EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,716,951BOYAmt
EOY$1,421,017EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$245,910,719BOYAmt
EOY$259,939,459EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,091,639BOYAmt
EOY$59,317,918EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,322,375BOYAmt
EOY$2,384,101EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,126,340BOYAmt
EOY$2,992,395EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,540,354BOYAmt
EOY$64,694,414EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$190,820,365BOYAmt
EOY$194,695,045EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$550,000BOYAmt
EOY$550,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$191,370,365BOYAmt
EOY$195,245,045EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$245,910,719BOYAmt
EOY$259,939,459EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$11,298,915ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$12,735,963NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,311,728OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$800,000OtherCostOrOtherBasisAmt
Book Value$800,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,721,974OtherCostOrOtherBasisAmt
Depreciation$3,513,980DepreciationAmt
Book Value$4,207,994BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,678,705OtherCostOrOtherBasisAmt
Depreciation$1,366,746DepreciationAmt
Book Value$311,959BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,319,953TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
FEDERAL INCOME TAXES$16,510
POST RETIREMENT BENEFIT OBLIGATION$2,975,885
FieldValueIRS element (for citing)
Total Liability$2,992,395TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
EAST ASIA & PACIFICBOND INVESTMENT SECURITIES$2,638,241
EUROPEBOND INVESTMENT SECURITIES$4,481,866
NORTH AMERICABOND INVESTMENT SECURITIES$1,287,301
SOUTH AMERICABOND INVESTMENT SECURITIES$296,097
NORTH AMERICASTOCK INVESTMENT SECURITIES$358,309
EUROPESTOCK INVESTMENT SECURITIES$884,840
MIDDLE EAST & NORTH AFRICASTOCK INVESTMENT SECURITIES$569,719
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$10,516,373SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$10,516,373TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
WEST LIBERTY UNIVERSITY
101 FACULTY DRIVEWHEELINGWV26003556000822GOVTL$250,000DONATION
WEST VIRGINIA UNIVERSITY
PO BOX 6201MORGANTOWNWV26506556000842GOVTL$250,000DONATION
UNITED WAY OF THE UPPER OHIO VALLEY
51 11TH STREETWHEELINGWV26003550479446501(C)(3)$5,000DONATION
OHIO CANCER RESEARCH ASSOC
50 WEST BROAD STREET NO 1132COLUMBUSOH43215311038309501(C)(3)$5,000DONATION
YMCA OF WHEELING
55 LOUNEZ AVENUEWHEELINGWV26003550357071501(C)(3)$25,000DONATION
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMEDICAL STUDENT SCHOLARSHIPSGrantTypeTxt
Recipient22RecipientCnt
Cash Grant$293,355CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceTUITION PAIDNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HPUOV MEDICAL STUDENT (DOCTORS/NURSES) SCHOLARSHIP PROGRAM BEGAN IN THE FALL OF 2009. MEDICAL STUDENTS SUBMIT SCHOLARSHIP APPLICATIONS TO A SUB-COMMITTEE OF THE BOARD. THESE APPLICATIONS ARE REVIEWED BY THE SUB-COMMITTEE BASED ON THE STUDENT'S FINANCIAL NEED. THE PREFERRED APPLICANTS ARE RECOMMENDED TO THE FULL BOARD, WHICH APPROVES ANY SCHOLARSHIP AWARDS. THE TUITION PAYMENTS ARE MADE DIRECTLY TO THE SCHOOL, AND BOOK EXPENSES ARE REIMBURSED DIRECTLY TO THE STUDENTS. THE GRANT TERM IS OPEN UNTIL THE STUDENT GRADUATES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PHILIP D WRIGHT
PRESIDENT/CEO RTD 6.30.14$201,313$0$16,896$0$151,629$0$14,846$0$6,860$0$391,544$0$0$0
JAMES PENNINGTON
PRESIDENT/CEO APPTD 7.1.14$200,762$0$0$0$1,533$0$315$0$3,438$0$206,048$0$0$0
JEFFREY M KNIGHT
CFO$158,000$0$13,289$0$540$0$11,042$0$19,255$0$202,126$0$0$0
PATRICIA M FAST
VP - OPERATIONS$182,904$0$14,125$0$7,256$0$25,576$0$19,255$0$249,116$0$0$0
E DAVID MATHIEU
VP - MARKETING$192,928$0$14,125$0$8,252$0$15,552$0$19,255$0$250,112$0$0$0
ROBERT J ROSET
CIO$188,676$0$14,118$0$2,202$0$19,426$0$19,255$0$243,677$0$0$0
MARK KENAMOND
MEDICAL DIRECTOR$206,087$0$4,091$0$2,322$0$688$0$6,877$0$220,065$0$0$0
ROBERT C KOTA
GENERAL COUNSEL$117,591$0$3,862$0$7,161$0$18,202$0$8,003$0$154,819$0$0$0
KENNETH ALLEN
MEDICAL DIRECTOR$140,684$0$4,268$0$2,472$0$800$0$8,003$0$156,227$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APER WRITTEN EMPLOYMENT AGREEMENT EXECUTED FOR CEO.
PART I, LINE 4APHILIP WRIGHT - $148,872 SEVERANCE PAYMENT UPON RETIREMENT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE CFO AND THE CONTROLLER REVIEW THE FORM 990 FOR REASONABLENESS COMPARED TO THE INTERNAL FINANCIAL STATEMENTS. THE CFO PORVIDES COPIES TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE SIGNED ON AN ANNUAL BASIS AND MAINTAINED BY THE HUMAN RESOURCES DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS AND/OR IMMEDIATE SUPERVISOR REVIEWS PERFORMANCE. THE BOARD APPROVES COMPENSATION FOR THE CEO, THE CEO APPROVES ALL OTHERS' COMPENSATION. OUTSIDE SURVEY TOOLS HAVE BEEN REFERENCED TO AID IN COMPENSATION DETERMINATION.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE FILED WITH THE DEPARTMENT OF INSURANCE AND ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN NONADMITTED ASSETS 5,311,728.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HOMETOWN HEALTH PLANBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 LILLIAN GISH BLVDAddressLine1Txt
CityMASSILLONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44647ZIPCd
FieldValueIRS element (for citing)
EIN341523541EIN
Primary ActivitiesINSURANCEPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Exempt Code Section501(C)(4)ExemptCodeSectionTxt
Public Charity StatusN/APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HPUOVBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
THP INSURANCE COMPANY
1137 VANVOORHIS RD CHELSEA SQUARE SMORGANTOWNWV26505550765726INSURANCEWVN/AC-$11,843,449$34,801,8701.00000Yes (1)
HP AGENCY INC
52160 NATIONAL ROAD EASTST CLAIRSVILLEOH43950341764520SVC TO SELF-INSOHN/AC-$522,411$465,9551.00000Yes (1)
HOMETOWN HHP SERVICES CORP
100 LILLIAN GISH BLVDMASSILLONOH44647341588625SVC TO SELF-INSOHN/AC-$288,196$713,1501.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THP INSURANCE COMPANY
L$4,978,291ADMIN ALLOCATION
HP AGENCY
L$3,248,342ADMIN ALLOCATION
HOMETOWN HHP SERVICES INC
L$301,695ADMIN ALLOCATION
THP INSURANCE COMPANY
B$15,000,000CAPITAL CONTRIBUTION

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.